Cammie Maxwell Neatherland, N.P.
Individual provider Active NPI Nurse Practitioner · Chatham, LA
NPI 1083029987 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1083029987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP07897 (LA)
- Practice address
- 804 Chatham Ave
Chatham, LA 71226-8917 - Phone
- (318) 249-3200
- Fax
- (318) 249-3204
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson Parish Hospital
Practice addresses (Care Compare)
165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone 3182594435223
165 Beech Springs Rd
Jonesboro, LA 71251-2059
Hospital & facility affiliations
- Primestar Home Health Inc
- Lagniappe Homecare Northern Louisiana
- Jackson Parish Hospital
- Fmol Health St Francis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141202001662 | LA | Practitioner - Nurse Practitioner | 6305168303 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Health Group, LLC | Current |
Accepting new patients | |
| Jackson Parish Hospital | Current |
Accepting new patients | |
| Affinity Health Group, LLC | Current |
Accepting new patients | |
| Jackson Parish Hospital | Past | Accepting new patients | |
| Jackson Parish Hospital | Past | Accepting new patients |
Locations
804 Chatham Ave
Chatham, LA 71226
Phone (318) 249-3200
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
107 Watts St
Jonesboro, LA 71251
Phone (318) 395-2121
121 Watts St
Jonesboro, LA 71251
Phone (318) 395-1159
121 Watts St
Ste A
Jonesboro, LA 71251
Phone (318) 259-0006
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
112 Saint John St
Monroe, LA 71201
Phone (318) 387-5681
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/
- https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP07897 | LA | Yes |
Addresses
Primary practice location
804 Chatham Ave
Chatham, LA 71226-8917
Mailing address
165 Beech Springs Rd
Jonesboro, LA 71251-2059
Phone (318) 259-5646
Other practice location 1
165 Beech Springs Rd
Jonesboro, LA 71251-2059
Phone (318) 259-4435
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2375741 | Medicaid | LA |
Other names
- Cammie L Maxwell
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cneatherland@jph.cernerdirect.com | Direct |
Other providers in Chatham, LA
- Eternal Blessings Inc
- Eternal Blessings Inc
- Eternal Blessings Personal Care Services
- Jackson Parish Hospital
- Aaron Nash
- Dana Blalock Williams
- Wings of Eagles Behavioral Health
All providers in Chatham, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.